| NPI | 1730743550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA DN122848) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN24670) |
| 122300000X Dentist (Licence: IL 019032323) | |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2025-05-05 |